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How do you further workup and treat a patient with nausea and weight loss found to have granulomatous gastritis on endoscopic biopsies with a negative workup for sarcoidosis or Crohn's disease?

1 Answer
Mednet MemberInvited Expert
Gastroenterology · Harvard Medical School
Answered on

Its a good question and challenging scenario. It would be helpful to know a few more details. What was the endoscopic appearance of the stomach, and what symptoms triggered the work up - just nausea and weight loss? How much was the weight loss? How thorough was the work up for Crohn's disease? I assume it is a negative colonoscopy with ileal intubation and biopsies? Was a capsule endoscopy performed?

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